State of Minnesota, County of________________________ Municipality of_____________________________________________________ -------------------------------------------------------------------- Application of ____________________________________________________________________ For License to Sell Intoxicating Liquors at Retail "On Premises" at__________________________________________________________________ in the________________________________of____________________________ -------------------------------------------------------------------- Filed this____________________day of_______________________of 20____ ___________________________Clerk License grated______________________20___ Expires_____________________________20___ ******************************************************************** Dated_________________ 20___ __________________________________ __________________________________ State of Minnesota County of___________________ ________________________________________being duly sworn, on oath say ________that________________________________________________________ the within applicant_____; that______he______ha_______full and first hand knowledge of the facts stated in the within application and of business of said applicant_________, the location thereof, and the contents of the within application; and that the statements made in said application are true of_______________own knowledge. Subscribed and Sworn to Before __________________________________ Me this_______day of___________ __________________________________ _____________________20__ _______________________________ Notary Public____________________County, MN My Commission Expires______________________ ********************************************************************* On Sale State of Minnesota County of____________________ Municipality of_______________________ ******************************************************************** To the governing body of the above named municipality: Pursuant to Chapter 46 of the laws of Minnesota, Special Session of 1933-4 ___________________________________________ _____________________________________________________________________ hereby appl______for a license, for the term of______________________ from the_______day of______________20__, to sell intoxicating liquors as defined by law at retail only for consumption "ON THE PREMISES" described as follows:________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _______________in said municipality, on which premises_______________ control______and operate a__________________________________________; and to that end hereby represent_____and state______; That said municipality is a________________________________________ _____________________________________________________________________ which has a population of_______________and which does not maintain an exclusive liquor store; having a resident proprietor and manager and the following equipment and facilities,______________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ That said applicant____________________citizen________of the United States, over twenty-one years of age,__________of good moral character and repute, _______________________not since the enactment of the act above specified, been convicted of any wilful violation of any law of the United States, or of the State of Minnesota, or of any local ordinance, with regard to the manufacture, sale, distribution, or possession for distribution or sale, of intoxicating liquors, and that no license issued to ____________under said act has ever been revoked: That no manufacturer or wholesaler will own or control, or has any financial interest in, the business of selling intoxicating liquors, at retail on said premises, nor power to exact or require, by contract, understanding or otherwise, said applicant_____________to handle or sell only the products of such manufacturer or wholesale: That no other retailer's license has been issued, directly or indirectly to said applicant_________or for said premises; that no license of a class other than hereby applied for has been issued to any person at said premises; and that said premises are neither owned or controlled by any person to whom no license could be issued: That said premises are not within any area within which the sale of intoxicating liquors is prohibited by the laws of the State of Minnesota, the provisions of any charter, ordinace, or special law, or through zoning ordinances, proceedings or legal process regularly held for that purpose: That said applicant_______hereby agree________that any license granted pursuant hereto shall be nontransferable without consent of the authority issuing the same; that said license shall not be effective until a permit shall be issued under the laws of the United States in case such permit is required under said laws; and that________________ will keep said license posted in a conspicuous place in said premises: That this application in made pursuant and subject to all the laws of Minnesota, the laws of the United States, the ordinances and regulations of said municipality, and the regulations of the Liquor Control Commissioner of Minnesota, relating to the sale and places of sale of intoxicating liquors, all of which are hereby made a part hereof, and which____________________hereby agree_____________________ to observe and obey.